Accredited Training Enquiry Form

Course of interest

Select a course from the list*

If Other was selected please specify the course of interest below

Enquiry type*

If Other was selected please specify the enquiry type below

Campus*

Yarra Junction
Lilydale
Chirnside Park
Cranbourne (Education Support only)
Online
Not sure

Please select the location that your enquiry is to be directed to

Contact and personal details

Name*

First Last

Date of birth

Phone

Email*

Address line 1

Address line 2

Suburb/town

Postcode

Employment and studying status

Are you currently employed?

Yes
No

If you're employed how many hours do you work per week?

If unemployed, how long has that been?

0-5 months
6-12 month
1-2 years
2 years or more

Are you currently studying?

Yes
No

If you're studying how many hours do you study per week?

Education history

Highest education level completed - select from list

If other was selected please specify your highest education level completed

Have you trained with us before?

Yes (please specify the box opposite)
No
Not sure

Course attended

Year attended the course

Other information required

Where did you hear about us?*

If Other was selected please specify below how you heard about us?

Comments

Preferred start

A soon as the next course is running
Within 3 months
Within 6 months

Preferred follow up method

Telephone
Mobile
Email

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